| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $79.59 | $124.22 | $298.83 | |
Cigna
| Professional | $53.31 | $67.03 | $115.07 | |
Health Partners
| Facility | $63.88 | $109.52 | $235.30 | |
Health Partners
| Professional | $52.78 | $62.47 | $106.55 | |
Medica
| Facility | $38.97 | $54.10 | $83.28 | |
Medica
| Professional | $198.00 | $198.00 | $198.00 |